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General NPI Number Information
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NPI Number | 1811186968
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Entity Type | Individual
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Provider Name | CAREN L ROSSER-MORRIS PHD
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Gender | Female
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 525 N 12TH ST STE 100
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City | LEMOYNE
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State | PA
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Zip | 17043
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Country | US
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Telephone | 717-329-1094
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4731
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City | HARRISBURG
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State | PA
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Zip | 17111-0731
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Country | US
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Telephone | 717-329-1094
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS015057
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS015057
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License Number State | PA
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